| The Doctor's Office, Inc. | |
|
6500 Lansdowne Ave Saint Louis MO 63109-2654 | |
| (314) 352-7003 | |
| Not Available |
| Full Name | The Doctor's Office, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 6500 Lansdowne Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Russell K Won (PRESIDENT) |
| Authorized Official Contact | 3143527003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctor's Office, Inc. 6500 Lansdowne Ave Saint Louis MO 63109-2654 Ph: (314) 352-7003 | The Doctor's Office, Inc. 6500 Lansdowne Ave Saint Louis MO 63109-2654 Ph: (314) 352-7003 |
| NPI Number | 1891829602 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 6204029580 |
|---|---|
| Medicare Enrollment ID | O20101019000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891829602 | NPI | - | NPPES |
| 201567013 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | R6B25 (Missouri) | Primary |
| Provider Name | Russell K L Won |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245327725 PECOS PAC ID: 0749473031 Enrollment ID: I20101019000933 |
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